Vaccination navigation: United Way's 2-1-1 has helped thousands get appointments

Because of coordinated partnerships between local governments, state health departments, and nonprofit groups, more and more farmworkers are receiving COVID-19 vaccinations. Through the N.C. Department of Health and Human Services Farmworker Health program and its partners, nearly 14,000 doses were administered to the farmworker community over two months. Advocates also have to dispel rumors and myths about the vaccines, but they are working to combat that misinformation and make it easier for them to get vaccinated.

South Korea has taken a softer approach to preventing and containing the coronavirus, in large part because they’ve prioritized accessible testing and have an already-existing strong and affordable healthcare system. Beyond that, the government has centered on citizen education – sending daily updates about new cases and provided a hotline for questions and concerns.

San Francisco officials converted an abandoned school on the Mission’s skid row into a special kind of shelter with the means to take chronically homeless adults from the street and entire encampment communities, then navigate them into housing, without the traditional, degrading rules and regulations of other shelters. It’s become one of the most closely watched homeless-related projects in the country, and Seattle is one of the cities looking to potentially replicate their model to help address the homelessness crisis.

The island of Malta fully vaccinated 90% of the population over the age of 12 against COVID-19 relatively quickly. They quickly vaccinated the most vulnerable in the population, including the elderly and healthcare workers and sent mobile clinics to where the population was. This, along with an effective media campaign that answered questions and dispelled misinformation, was particularly important in getting people, especially young people, vaccinated. A nationwide culture of trust in doctors was very important in the vaccination success.

The COVID Ambassador program trains people to listen, be empathetic, and acknowledge people’s COVID-19 vaccine concerns. Ambassadors’ training includes substantial practice talking to people who are resistant to getting vaccinated and they receive ongoing support at bi-monthly meetings, which has increased their confidence and led to more conversations with community members hesitant to get vaccinated. Like other community health worker programs, the ambassador program’s ability to be successful relies on the idea that people trust information from their peers more than from the government.

Community health workers from One World have gained community trust over the years and now go door-to-door to talk with residents about the COVID-19 vaccine and dispel misinformation. They provide resources in Spanish and carry vaccines in a refrigerated bag so residents can get vaccinated on the spot. The group has invested a lot of money, time, and personnel having intensely personal conversations with people. They also host pop-up clinics in the community and allow at-home vaccination appointments. The areas served by One World has seen more vaccinations than almost anywhere else in Nebraska.

Faith in the Vaccine is an initiative to increase COVID-19 vaccination rates among low-income areas and within ethnic communities. The group, often using student ambassadors, leverages the credibility of community leaders and influencers and identifies opportunities to bring vaccine clinics to where people are already gathering. For example, vaccine tents were available at a recent soccer game attended by over 1,000 Spanish-speaking fans. Attendees could get the one-dose COVID-19 shot, a $25 VISA debit card, and be entered to win two season passes to the 2022 season of the new Charlotte FC soccer team.

The Greater Lowell Health Alliance offered COVID-19 vaccines using a “block party” model where community members enjoy free food, music, activities, and even childcare, while also having access to information about vaccines in multiple languages as well as the ability to actually get vaccinated. This model reduced barriers for immigrants, refugees, and other people who don’t speak English fluently, as well as caregivers who can’t attend vaccine appointments due to their caregiving responsibilities. The relaxed environment, where loved ones can support each other, increased comfort with getting the vaccine.

Members of Asociación Cultural Latino-Acadiana and the Rotary Club of Lafayette North went door-to-door in neighborhoods that are home to Spanish-speaking households to find people eligible for COVID-19 vaccinations. After compiling a list of unvaccinated residents who wanted the shot, they coordinated with the Department of Health to organize three vaccine events. The events were held within the communities, which eased transportation burdens and the inability to take time off of work. The presence of interpreters also helped ease residents’ concerns of being able to communicate with the medical providers.

Toronto’s Vaccine Engagement Teams Grant has awarded $5.5 million to community organizations in 140 neighborhoods to hire and train local ambassadors for vaccine outreach. Because the ambassadors share a lived experience with the communities, they can effectively identify the barriers people face. The on-the-ground effort includes sharing information, advocating for community needs, and helping people access services. The outreach focuses on people often overlooked by government services, such as unhoused people and people who do not speak English or have precarious immigration status.